Online Program Information Request

For more and specific information about any of the Online Campus programs, please complete this request. You will receive an email from the Online Campus Coordinator with specific information about the program of interest.

Please ensure you complete the entire form before submitting.

Applicant Information
First Name :
Middle Name:
Last Name:
Date of Birth:
Email Address:
Daytime telephone:
U.S. Mailing Address:





Note: For non-U.S. address, insert entire address in the comment box at end of this form.

Intended Program Enrollment

Undergraduate Programs

Clinical Laboratory Sciences B.S. MLT to MLS track
Exceptional Student Education, B.A.
GEM (General Education Mobile)- Active Duty Air Force only
Health Sciences, B.S. - Health Care Administration
Health Sciences, B.S. - Public Health
Instructional Design and Technology, B.S. - Instructional Design and Techology
Maritime Studies, B.A.

Graduate Programs

Curriculum & Instruction, Ed.D. - Instructional Design and Technology
Accountancy, M.Acc.
Administration, M.S.A. - Public Administration
Business Administration, M.B.A. - Business Analytics
Business Administration, M.B.A. - Human Resources Management
Business Administration, M.B.A. - Information Security Management
Computer Science, M.S. - Database Systems
Computer Science, M.S. - Software Engineering
Curriculum & Instruction, M. Ed. - Elementary Education Comprehensive
Curriculum & Instruction, M. Ed. - Middle Level Comprehensive
Curriculum & Instruction, M. Ed. - Secondary Education Comprehensive
Educational Leadership, M.Ed. - Educational Leadership Certification
English, M.A.
Exceptional Student Education Comprehensive, M.A. - Applied Behavior Analysis
Exceptional Student Education Comprehensive, M.A. - Special & Alternative Education
Healthcare Administration, M.H.A.
Information Technology, M.S. - Cybersecurity
Information Technology, M.S. - Database Management
Mathematics, M.S.
Political Science, M.A.
Public Health, M.P.H.
Reading, M.Ed.

Undergraduate Certificate Programs

Business Intelligence
Career and Technical Education
Database Systems
Information Security Management
Intelligence Analysis
Technology Systems Support

Graduate Certificate Programs

Acquisition & Contract Administration
Business Analytics
Data Science
Database Systems
Graduate Business Foundations
Health Informatics
Human Resource Management
Information Security Management
Instructional Design & Technology
Leadership & Non-Profit Administration
Professional Accountancy
Public Health - Emergency Management
Public Health - Infection Control
Supply Chain Logistics Management

For which term & year do you seek admission?

       Will you be applying for the Online Campus Out-of-State Fee Waiver?
Optional Information
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